Analysis of the Joint Distribution of Disproportionate Share Hospital Payments. 4. Current Distribution of DSH Payments


In this chapter, we discuss our analysis of hospital-level distributions of Medicare and Medicaid disproportionate share payments for FY1998 and summarize the results at the state-level and at the national level using key hospital characteristics. We begin with a discussion of our simulation of actual FY1998 Medicare DSH payments and what the payments would have been assuming current law policies for FY2003 had been in effect. Next, we discuss the results of matching the Medicaid DSH payments reported by the states with individual hospitals. Finally, we provide information on combined Medicare and Medicaid DSH payments by hospital characteristic and by state.

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